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General NPI Number Information
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NPI Number | 1568378958
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Entity Type | Individual
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Provider Name | AMBER ESTES
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Gender | Female
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 3597 E MONARCH SKY LN STE 240
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City | MERIDIAN
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State | ID
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Zip | 83646-1055
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Country | US
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Telephone | 208-888-6264
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Fax |
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Provider Business Mailing Address
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Address Line | 66 AYERS RD
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City | ARAGON
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State | GA
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Zip | 30104-1858
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Country | US
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Telephone | 770-324-4302
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 8981520
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License Number State | ID
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